Identification of Factors Related to Functional Decline of Korean Older Adults After Hip Fracture Surgery: A Cross-Sectional Study

2019 ◽  
Vol 12 (6) ◽  
pp. 312-320
Author(s):  
YoungJi Ko ◽  
JuHee Lee ◽  
Shin-Yoon Kim ◽  
Seung-Hoon Baek
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Functional Decline ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

scholarly journals Short-term complications of anesthetic technique used in hip fracture surgery in elderly people

2018 ◽  
Vol 28 (3) ◽  
Author(s):  
Afsaneh Norouzi ◽  
Fozhan Behrouzibakhsh ◽  
Alireza Kamali ◽  
Bijan Yazdi ◽  
Babak Ghaffari
Keyword(s):  
Hip Fracture ◽  
Vital Signs ◽  
Cross Sectional Study ◽  
Anesthetic Technique ◽  
Sectional Study ◽  
Short Term ◽  
Cross Sectional ◽  
Hip Fracture Surgery ◽  
American Society ◽  
Fracture Surgery

Postoperative complications of fracture are one of the main problems in older patients with hip fracture. In this study, complications were observed 48 hours after surgery in different anesthetic procedures. This prospective cross sectional study was carried out over a 12-month period. All subjects over 55 years of age undergoing hip fracture surgery were selected for study with ASA class (American Society of Anesthesiology: one, two and three). After determining the vital signs in the operating room, anesthesia type (general, spinal and epidural) and various variables were recorded. It was observed that the spinal anesthesia method had the lowest level of postoperative disturbances of consciousness and had the shortest duration in terms of duration of time. On the other hand, general anesthesia was the least in terms of blood transfusion. Finally, epidural anesthetic method showed the least amount of pain 48 hours after operation and the least changes in blood pressure and heart rate.

scholarly journals Risk factors for hip fracture in New Zealand older adults seeking home care services: a national population cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rebecca Abey-Nesbit ◽  
Philip J. Schluter ◽  
Tim Wilkinson ◽  
John Hugh Thwaites ◽  
Sarah D. Berry ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
New Zealand ◽  
Hip Fracture ◽  
Home Care ◽  
Home Care Services ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services

scholarly journals Care trajectories of chronically ill older adult patients discharged from hospital: a quantitative cross-sectional study using health insurance claims data

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yvonne de Man ◽  
Femke Atsma ◽  
Wilma Jonkers ◽  
Sophia E. J. A. de Rooij ◽  
Gert P. Westert ◽  
...  
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Cross Sectional Study ◽  
Community Nursing ◽  
Sectional Study ◽  
Post Discharge ◽  
Cross Sectional ◽  
Term Care ◽  
First 90 Days

Abstract Background For older adults, a good transition from hospital to the primary or long-term care setting can decrease readmissions. This paper presents the 6-month post-discharge healthcare utilization of older adults and describes the numbers of readmissions and deaths for the most frequently occurring aftercare arrangements as a starting point in optimizing the post-discharge healthcare organization. Methods This cross-sectional study included older adults insured with the largest Dutch insurance company. We described the utilization of healthcare within 180 days after discharge from their first hospital admission of 2015 and the most frequently occurring combinations of aftercare in the form of geriatric rehabilitation, community nursing, long-term care, and short stay during the first 90 days after discharge. We calculated the proportion of older adults that was readmitted or had died in the 90–180 days after discharge for the six most frequent combinations. We performed all analyses in the total group of older adults and in a sub-group of older adults who had been hospitalized due to a hip fracture. Results A total of 31.7% of all older adults and 11.4% of the older adults with a hip fracture did not receive aftercare. Almost half of all older adults received care of a community nurse, whereas less than 5% received long-term home care. Up to 18% received care in a nursing home during the 6 months after discharge. Readmissions were lowest for older adults with a short stay and highest in the group geriatric rehabilitation + community nursing. Mortality was lowest in the total group of older aldults and subgroup with hip fracture without aftercare. Conclusions The organization of post-discharge healthcare for older adults may not be organized sufficiently to guarantee appropriate care to restore functional activity. Although receiving aftercare is not a clear predictor of readmissions in our study, the results do seem to indicate that older adults receiving community nursing in the first 90 days less often die compared to older adults with other types of aftercare or no aftercare. Future research is necessary to examine predictors of readmissions and mortality in both older adult patients discharged from hospital.

Usability of a tablet computer designed for older adults: a qualitative approach based on an intra-hospital living-lab for healthcare (Preprint)

2020 ◽  
Author(s):  
Guillaume Sacco ◽  
Pauline Carliez ◽  
Frédéric Noublanche ◽  
Romain Simon ◽  
Anne Renaudin ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Patients ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Satisfaction Score ◽  
Tablet Computer ◽  
Sectional Study ◽  
Cross Sectional ◽  
System Usability Scale ◽  
Perceived Usability

BACKGROUND Usability is the keystone in the evolution of tablet technology in healthcare. The Ardoiz® tablet has been designed with a simplified interface for older adults. OBJECTIVE To assess the perceived usability and satisfaction of the Ardoiz® tablet. METHODS We conducted a mixed methods with cross-sectional study using System Usability Scale (SUS), satisfaction score and workshops, including geriatric patients, healthcare professional and caregivers. RESULTS Between September 25, 2019 and March 11, 2020, 58 participants were included in a cross-sectional study (including 38 patients, mean ±SD 85±6 years, 66% women), 26 in workshops (including 5 patients, mean ±SD 86.4±2.9, 40% women). The SUS was 74±12/100, the satisfaction score was 2.8±0.9/4, with 59% of satisfied participants with the use of Ardoiz® pads. The intent to acquire remained low with 18% (n=6) of participants who would be interested in acquiring the tablet. This tablet computer seemed to be difficult to use by geriatric patients and healthcare professionals, mainly because of its complex homepage. Nevertheless, former caregivers and healthcare professionals thought that the tablet could be of great interest to hospitals for leisure and medical use. The main feedback in order to improve the tablet is to simplify the home page with fewer and more static icons (without switching). CONCLUSIONS Notwithstanding the usability of the tablet, the intent to acquire of Ardoiz® tablet remained low. The interface should be simplified for older adults in order to improve usability and adherence. CLINICALTRIAL NCT04091152

scholarly journals Knowledge and attitude of nursing students regarding older adults' sexuality: A cross-sectional study

2021 ◽  
Vol 96 ◽  
pp. 104643
Author(s):  
Vivian F.C. Wilschut ◽  
Birgit Pianosi ◽  
Harmieke van Os-Medendorp ◽  
Henk W. Elzevier ◽  
Jan S. Jukema ◽  
...  
Keyword(s):  
Older Adults ◽  
Nursing Students ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge And Attitude
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